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From the Department of Surgery,* University of California, Los Angeles, California; Department of Dentistry,
Chang-Gung Memorial Hospital, Keelung, Taiwan; Section of Orthodontics, The Dental and Craniofacial Research Institute,
University of California, Los Angeles, California; Weintraub Center,
School of Dentistry, University of California, Los Angeles, California; and the Department of Surgery,¶ Stanford University, Stanford, California
Fetal rat skin transitions from scarless fetal-type repair to adult-type repair with scar between day 16 (E16) and day 18 (E18) of gestation (term = 21.5 days). Deficient transforming growth factor (TGF)-ß1 and -ß2 injury response has been proposed as a mechanism for scarless fetal-type repair. However, previous fetal studies have inconsistently reported the degree of TGF-ß induction after injury. To minimize developmental variables in fetal versus adult TGF-ß regulation, we narrowed our study to wounded fetal animals. We hypothesize that TGF-ß ligand and receptor expression will be differentially regulated during the transition from early gestation (E16) wounds manifesting scarless fetal-type repair to late gestation (E19) wounds manifesting adult-type repair with scar. In this study, decreased and rapidly cleared TGF-ß1 and -ß2 expression accompanied by increased and prolonged TGF-ß3 levels in wounded E16 animals correlated with organized collagen deposition. In contrast, increased and prolonged TGF-ß1 and -ß2 expression accompanied by decreased and delayed TGF-ß3 expression in wounded E19 animals correlated with disorganized collagen architecture. Similarly, expression of TGF-ß receptors type I and II were also increased or prolonged in E19 animals. Our results implicate increased TGF-ß1, -ß2, and decreased TGF-ß3 expression, as well as increased type I and II receptor expression in late gestation fetal scar formation.
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